Healthcare Provider Details

I. General information

NPI: 1508390352
Provider Name (Legal Business Name): STORY COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S 19TH ST STE 100
NEVADA IA
50201-2902
US

IV. Provider business mailing address

640 S 19TH ST STE 100
NEVADA IA
50201-2902
US

V. Phone/Fax

Practice location:
  • Phone: 515-382-5413
  • Fax: 515-382-7107
Mailing address:
  • Phone: 515-382-5413
  • Fax: 515-382-7107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATHAN D THOMPSON
Title or Position: CEO
Credential:
Phone: 515-382-2111